ESR 92 mm/hr means : is it normal, good, bad or dangerous?

In this article we discuss what an ESR of 92 means, together with its causes, false elevations and whether it is good, bad or normal. We also delve into reasons for false elevation of ESR, and explain the significance of an ESR of 92 in pregnancy. We conclude with the ESR to CRP ratio that can help distinguish an infection from SLE.

What is ESR?

How is ESR measured?

ESR, or Erythrocyte Sedimentation Rate, is measured by collecting a small blood sample from the patient's arm, usually from a vein. Before the blood draw, the area is cleaned with an antiseptic solution to ensure a sterile collection. Once obtained, the blood is mixed with an anticoagulant to prevent clotting. The prepared blood sample is then placed in a tall, thin tube, which is positioned upright to allow red blood cells to settle over a specific period, often one hour. The distance the red blood cells travel in the tube during this time is carefully measured, and the settling rate is recorded. The Westergren method, a widely recognized technique for ESR measurement, involves the use of a specialized Westergren tube for blood collection. In preparation for the test, patients are usually advised to communicate any medications they are taking to their healthcare provider, as certain drugs can influence the results. Fasting is not mandatory for ESR, but maintaining hydration is recommended to facilitate an efficient blood draw and ensure accurate results. ESR is an essential diagnostic tool, providing healthcare professionals with valuable information to assess and monitor inflammatory conditions within the body.

What is the normal range of ESR and how is an ESR of 92 graded?

Different sources mention slightly different normal ranges for ESR. The normal range also varies slightly based on the method of measurement. When measured by the Westergren method, the normal range for ESR is mentioned below for adult males, adult females and children.

Normal Range and Grading for Adult Males : ESR 92

Range	Classification	Comments
0 to 20	Normal
20-80	Elevated
>80	Very High

Normal Range and Grading for Adult Women : ESR 92

Range	Classification	Comments
0 to 20	Normal
20 to 30	Normal above 50 years of age, slightly elevated below 50 years of age
30-80	Elevated
>80	Very High

Normal Range and Grading for Children : ESR 92

Range	Classification	Comments
0 to 10	Normal
10-80	Elevated
>80	Very High

What does an ESR of 92 mm/hr mean?

An ESR level of 92 is considered to be dangerously or alarmingly elevated. You should get immediate medical attention, and a doctor must evaluate all your health parameters to arrive at a cause for this ESR level.Other tests will inevitably be prescribed and a detailed medical history will also need to be taken.

Is an ESR of 92 mm/hr good?

Is an ESR of 92 mm/hr bad?

Is an ESR of 92 mm/hr dangerous?

Is an ESR of 92 mm/hr normal?

What are the causes of an ESR of 92 mm/hr?

An ESR of 92 can have various causing including the following

Inflammatory Bowel Disease

Conditions like Crohn's disease and ulcerative colitis can cause elevated ESR.

Inflammation

Any inflammatory condition in the body can cause an elevation in ESR.

Liver Disease

Certain liver conditions can be associated with higher ESR.

Rheumatoid Arthritis

A chronic inflammatory disorder affecting the joints.

Hepatitis

Inflammation of the liver, often caused by viral infections.

Heart Disease

Inflammatory changes in the cardiovascular system may contribute to an elevated ESR.

Certain Medications

Some medications, such as corticosteroids, can influence ESR levels.

Dehydration

Though less common, dehydration can affect blood viscosity and ESR.

Vasculitis

Inflammation of blood vessels.

Thyroid Disorders

Both hyperthyroidism and hypothyroidism can influence ESR levels.

Certain Cancers

Some cancers, especially those associated with inflammation, can cause an increase in ESR.

HIV/AIDS

The human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS) can lead to immune system dysfunction and inflammation.

What are the causes for a falsely elevated ESR value of 92?

There are certain normal or physiological conditions in which the ESR May be falsely elevated or elevated without any abnormality.

Genetic Factors

Genetic variations can contribute to individual differences in baseline ESR levels. While genetics play a role, lifestyle factors and overall health also significantly influence ESR. Understanding genetic predispositions can provide insights into an individual's inflammatory response.

Menstrual Cycle

Throughout the menstrual cycle, hormonal fluctuations, especially variations in estrogen levels, can influence the inflammatory response in the body, leading to periodic changes in ESR. This is particularly noticeable during the menstrual period.

Temperature Changes

Extreme temperatures, whether due to fever or exposure to cold, can affect the viscosity of blood. These temperature-related changes can influence ESR levels. Monitoring body temperature and addressing the underlying cause is important for accurate interpretation of ESR results.

Emotional Factors

Emotional stress and psychological factors can influence the body's inflammatory response, potentially leading to a temporary increase in ESR. The mind-body connection underscores the importance of mental health for overall well-being.

Postpartum Period

In the postpartum period following childbirth, the body goes through a process of recovery and adaptation. Hormonal changes, including a decrease in pregnancy-related hormones, can contribute to temporary fluctuations in ESR levels.

Mild Infections

Low-grade or chronic infections may result in a subtle increase in ESR. The immune system responds to even minor infections by releasing inflammatory markers, influencing ESR levels. Monitoring for signs of infection and addressing underlying causes is crucial.

Dehydration

Dehydration can result in reduced plasma volume, affecting blood viscosity. This change in blood composition may lead to an elevation in ESR. It's essential to maintain proper hydration levels for overall health and accurate blood test results.

Strenuous Exercise

Intense physical activity, especially when not part of the routine, can cause muscle and tissue damage, triggering an inflammatory response. This acute inflammation can lead to a temporary increase in ESR. Regular exercise, however, generally has a positive impact on overall health.

Race/Ethnicity

ESR levels can exhibit variations among different racial and ethnic groups. Genetic and environmental factors specific to certain populations may contribute to these differences. However, individual health and lifestyle choices remain crucial factors influencing ESR levels.

Circadian Rhythms

ESR levels can vary throughout the day due to natural circadian rhythms. The body's internal clock influences various physiological processes, including inflammation. Understanding these fluctuations helps in interpreting ESR results accurately.

Pregnancy

During pregnancy, the body undergoes significant hormonal and physiological changes. The increased blood volume, hormonal fluctuations, and immune system adaptations can contribute to higher ESR levels. This elevation is often considered normal in pregnant individuals.

Smoking

Smoking has been associated with higher ESR levels in some individuals. The chemicals in tobacco smoke can induce inflammation and oxidative stress, contributing to an elevated ESR. Quitting smoking has numerous health benefits, including potential improvements in inflammatory markers.

What does an ESR of 92 in pregnancy mean?

The normal range of ESR during pregnancy is different in the different months or trimesters of pregnancy. This is because pregnancy causes a small rise in the ESR, which is considered normal. The following table lists the normal ranges.

Trimester	Lower Limit	Upper Limit
1st	4	57
2nd	7	47
3rd	13	70

Based on these criteria, your ESR of 92 can be classified as below.
If you are in the first three months of pregnancy an ESR of 92 is elevated
If you are in the second trimester or months 3-6 of pregnancy an ESR of 92 is elevated
If you are in the third trimester or months 7-9 of pregnancy an ESR of 92 is elevated

What are the symptoms of an ESR of 92 ?

ESR itself does not cause any direct symptoms. The symptoms of ESR are due the underlying disease process. The following is a list of symptoms that may be associated with an ESR of 92

Depression

Persistent feelings of sadness or hopelessness.

Mouth Ulcers

Sores in the mouth that may be painful.

Photosensitivity

Increased sensitivity to sunlight.

Loss of Appetite

Decreased desire to eat.

Cognitive Impairment

Memory problems or difficulty concentrating.

Nausea and Vomiting

Feeling of sickness and vomiting.

Neurological Symptoms

Tingling, numbness, or weakness.

Muscle Aches

Generalized or localized pain in muscles.

Abdominal Pain

Discomfort or pain in the abdominal region.

Unexplained Weight Loss

Losing weight without intentional changes in diet or exercise.

Chest Pain

Pain or discomfort in the chest area.

Vision Changes

Blurred vision or other visual disturbances.

Irregular Menstrual Cycles

Changes in menstrual patterns for women.

Fever

Elevated body temperature beyond normal range.

Swollen Lymph Nodes

Enlarged and tender lymph nodes.

Digestive Issues

Irregular bowel movements, diarrhea, or constipation.

Hair Loss

Unexplained loss of hair.

Recurrent Infections

Frequent or persistent infections.

Dry Eyes and Mouth

Symptoms of Sjögren's syndrome.

Cough

Persistent or chronic coughing.

Difficulty Sleeping

Insomnia or disrupted sleep patterns.

Headaches

Recurrent or persistent headaches.

Joint Pain

Discomfort, swelling, or stiffness in the joints.

Night Sweats

Excessive sweating during sleep.

Abnormal Blood Counts

Changes in white blood cell count or other blood parameters.

Fatigue

Persistent tiredness and lack of energy.

Which foods can reduce an ESR of 92 mm/hr?

Based on a study by Hulander et al, eating foods that lower inflammation can lead to a lowered value of ESR. The following foods can be consumed to try to reduce inflammation.

Probiotics

Foods enriched with probiotics, like yogurt and fermented products, support a healthy gut microbiome. A balanced gut contributes to reduced inflammation and improved overall well-being, aligning with the principles of the Mediterranean diet.

Fruits

Various fruits, including citrus fruits and berries, are packed with vitamins, minerals, and antioxidants. Their consumption is associated with reduced inflammation, aligning with the Mediterranean diet's focus on whole, nutrient-dense foods.

Fatty Fish

Fatty fish, such as salmon and mackerel, are rich in omega-3 fatty acids. These acids have anti-inflammatory properties, making fatty fish an excellent choice in the Mediterranean diet to combat inflammation.

Legumes

Legumes, such as lentils and chickpeas, are high in phytochemicals. These compounds have anti-inflammatory effects, making legumes an essential part of the Mediterranean diet for promoting a healthier lifestyle.

Vegetables

A diverse array of vegetables is a cornerstone of the Mediterranean diet. They provide essential nutrients and phytochemicals that contribute to reducing inflammation and supporting overall health.

Whole Grains

Whole grains are a key component of the Mediterranean diet, providing essential nutrients and fiber. They contribute to reducing inflammation and promoting overall health.

What other tests should be done with an ESR of 92 mm/hr ?

For an ESR of 92, other tests can be done to further ascertain the immune status of the body, as well as rule out infections or malignancies if any.
The following table lists other tests that can be done.

Lab Tests Related to ESR

Test	Description
High Sensitivity CRP	High Sensitivity C-Reactive Protein (CRP) test measures inflammation in the body.
LDH	Lactate Dehydrogenase (LDH) test assesses tissue damage and disease and inflammation in the body
Ferritin	Ferritin test measures the levels of iron storage in the body, as well as the level of inflammation in the body.

What is the ESR to CRP ratio and why does it matter?

The ESR to CRP ratio is the ratio of the Erythryocyte Sedimentation Rate in mm/hr to the C-Reactive Protein Value. The ratio has value in patients with Systemic Lupus Erythematosus. If the value is below 2 it indicates that the patient has an infection in addition to the SLE. If the value is above 15 it is more likely to be a flare up of SLE. You can find the ratio calculated for various values of CRP given your ESR value of 92

What is my ESR:CRP ratio for an ESR of 92 mm/hr ?

ESR	CRP	Ratio	Means
92	1.0	92.0	More likely to be autoimmune disease flareup of SLE
92	1.5	61.333333333333336	More likely to be autoimmune disease flareup of SLE
92	2.0	46.0	More likely to be autoimmune disease flareup of SLE
92	2.5	36.8	More likely to be autoimmune disease flareup of SLE
92	3.0	30.666666666666668	More likely to be autoimmune disease flareup of SLE
92	3.5	26.285714285714285	More likely to be autoimmune disease flareup of SLE
92	4.0	23.0	More likely to be autoimmune disease flareup of SLE
92	4.5	20.444444444444443	More likely to be autoimmune disease flareup of SLE
92	5.0	18.4	More likely to be autoimmune disease flareup of SLE
92	5.5	16.727272727272727	More likely to be autoimmune disease flareup of SLE
92	6.0	15.333333333333334	More likely to be autoimmune disease flareup of SLE
92	6.5	14.153846153846153	Inconclusive
92	7.0	13.142857142857142	Inconclusive
92	7.5	12.266666666666667	Inconclusive
92	8.0	11.5	Inconclusive
92	8.5	10.823529411764707	Inconclusive
92	9.0	10.222222222222221	Inconclusive
92	9.5	9.68421052631579	Inconclusive
92	10.0	9.2	Inconclusive
92	10.5	8.761904761904763	Inconclusive
92	11.0	8.363636363636363	Inconclusive
92	11.5	8.0	Inconclusive
92	12.0	7.666666666666667	Inconclusive
92	12.5	7.36	Inconclusive
92	13.0	7.076923076923077	Inconclusive
92	13.5	6.814814814814815	Inconclusive
92	14.0	6.571428571428571	Inconclusive
92	14.5	6.344827586206897	Inconclusive
92	15.0	6.133333333333334	Inconclusive
92	15.5	5.935483870967742	Inconclusive
92	16.0	5.75	Inconclusive
92	16.5	5.575757575757576	Inconclusive
92	17.0	5.411764705882353	Inconclusive
92	17.5	5.257142857142857	Inconclusive
92	18.0	5.111111111111111	Inconclusive
92	18.5	4.972972972972973	Inconclusive
92	19.0	4.842105263157895	Inconclusive
92	19.5	4.717948717948718	Inconclusive
92	20.0	4.6	Inconclusive
92	20.5	4.487804878048781	Inconclusive
92	21.0	4.380952380952381	Inconclusive
92	21.5	4.27906976744186	Inconclusive
92	22.0	4.181818181818182	Inconclusive
92	22.5	4.088888888888889	Inconclusive
92	23.0	4.0	Inconclusive
92	23.5	3.9148936170212765	Inconclusive
92	24.0	3.8333333333333335	Inconclusive
92	24.5	3.7551020408163267	Inconclusive
92	25.0	3.68	Inconclusive
92	25.5	3.607843137254902	Inconclusive
92	26.0	3.5384615384615383	Inconclusive
92	26.5	3.4716981132075473	Inconclusive
92	27.0	3.4074074074074074	Inconclusive
92	27.5	3.3454545454545452	Inconclusive
92	28.0	3.2857142857142856	Inconclusive
92	28.5	3.2280701754385963	Inconclusive
92	29.0	3.1724137931034484	Inconclusive
92	29.5	3.1186440677966103	Inconclusive

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